Provider Demographics
NPI:1528934049
Name:RENAISSANCE RECOVERY TENNESSEE
Entity type:Organization
Organization Name:RENAISSANCE RECOVERY TENNESSEE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HUMAN RESOURCES
Authorized Official - Prefix:
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:
Authorized Official - Last Name:COURTNEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-467-4801
Mailing Address - Street 1:2200 8TH AVE S
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37204-2206
Mailing Address - Country:US
Mailing Address - Phone:949-742-0172
Mailing Address - Fax:949-688-6546
Practice Address - Street 1:2200 8TH AVE S
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37204-2206
Practice Address - Country:US
Practice Address - Phone:949-742-0172
Practice Address - Fax:949-688-6546
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-13
Last Update Date:2025-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder